Organization
THE MIRIAM HOSPITAL
Active
Parent organization
LIFESPAN CORPORATION
Other names
Cardiovascular Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN CORPORATION
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
208 COLLYER ST, SUITE 100, PROVIDENCE, RI 02904-1560
(401) 793-7191
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 793-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
HOS00122
RI
Other
Enumeration date
10/27/2011
Last updated
03/18/2026
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